| NPI | 1992738520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA H. WONG Director 213-738-4601 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2024-06-20 |